EXIT HESI COMPREHENSIVE B EVOLVE
PRACTICE QUESTIONS LATEST
2026/2027 ACTUAL EXAM QUESTIONS
WITH CORRECT ANSWERS 100%
VERIFIED GRADED A+
B
Rationale:
Positioningmthemheadmofmthembedmflatmwhenmenteralmfeedingsmareminmprogressmputsmthemclientmatm
riskmformaspirationm(B).mThemothersmaremallmacceptablemtasksmperformedmbymthemUAPm(A,mC,mandmD
).m-
mCORRECTmANSWERmThemnursemismcaringmformamclientmwithmamcerebrovascularmaccidentm(CVA)mwh
omismreceivingmenteralmtubemfeedings.mWhichmtaskmperformedmbymthemUAPmrequiresmimmediatemin
terventionmbymthemnurse?
A.Suctionsmoralmsecretionsmfrommmouth
B.Positionsmheadmofmbedmflatmwhenmchangingmsheets
C.Takesmtemperaturemusingmthemaxillarymmethod
D.Keepsmheadmofmbedmelevatedmatm30mdegrees
B
Rationale:
Multiplembloodmtransfusionsmaremamriskmfactormformhyperkalemia.mAmserummpotassiummlevelmhighe
rmthanm5.0mmEq/Lmindicatesmhyperkalemiam(B).mThemothersmaremnormalmfindingsm(A,mC,mandmD).m-
mCORRECTmANSWERmWhenmcaringmformampostsurgicalmclientmwhomhasmundergonemmultiplemblood
mtransfusions,mwhichmserummlaboratorymfindingmismofmmostmconcernmtomthemnurse?
A.Sodiummlevel,m137mmEq/L
B.Potassiummlevel,m5.5mmEq/L
C.Bloodmureamnitrogenm(BUN)mlevel,m18mmg/dL
D.Calciummlevel,m10mmEq/L
,A
Rationale:
ThemhepatitismBmvaccinationmshouldmbemgivenmtomallmnewbornsmbeforemhospitalmdischargem(A).mHP
Vmismnotmrecommendedmuntilmadolescencem(B).mVaricellamimmunizationmbeginsmatm12mmonthsm(C)
.mMeningococcalmvaccinemismadministeredmbeginningmatm2myearsm(D).m-
mCORRECTmANSWERmWhichmvaccinationmshouldmthemnursemadministermtomamnewborn?
A.HepatitismB
B.Humanmpapillomamvirusm(HPV)
C.Varicella
D.Meningococcalmvaccine
B
Rationale:
Obtainingmamfingerstickmbloodmglucosemlevelmismamsimplemtreatmentmandmismanmappropriatemskillmf
ormUAPmtomperformm(B).m(A,mC,mandmD)maremskillsmthatmcannotmbemdelegatedmtomUAP.m-
mCORRECTmANSWERmThemnursemismcaringmformamclientmonmthemmedicalmunit.mWhichmtaskmcanmbemd
elegatedmtomunlicensedmassistivempersonnelm(UAP)?
A.Assessmthemneedmtomchangemamcentralmlinemdressing.
B.Obtainmamfingerstickmbloodmglucosemlevel.
C.Answermamfamilymmember'smquestionsmaboutmthemclient'smplanmofmcare.
D.Teachmthemclientmsidemeffectsmtomreportmrelatedmtomthemcurrentmmedicationmregimen.
B,C,E
Rationale:
Neurologicmassessment,mincludingmthemNIHSS,mismindicatedmformthemclientmreceivingmt-
PA.mThismincludesmclosemmonitoringmformbleedingmduringmandmaftermtheminfusion;mifmbleedingmormo
thermsignsmofmneurologicmimpairmentmoccur,mtheminfusionmshouldmbemstoppedm(B,mC,mandmE).mAspi
rinmismcontraindicatedmwithmt-
,PAmbecausemitmincreasesmthemriskmformbleedingm(A).mThemadministrationmofmt-
PAmwithinm6mhoursmofmsymptomsmismconcurrentmwithmamdiagnosismofmammyocardialminfarctionmand
mwithinm4.5mhoursmofmsymptomsmismconcurrentmformamstrokem(D).m-
mCORRECTmANSWERmThemnursemismcaringmformamclientmwithmanmischemicmstrokemwhomhasmamprescr
iptionmformtissuemplasminogenmactivatorm(t-
PA)mIV.mWhichmaction(s)mshouldmthemnursemexpectmtomimplement?m(Selectmallmthatmapply.)
A.Administermaspirinmwithmtissuemplasminogenmactivatorm(t-PA).
B.CompletemthemNationalmInstitutemofmHealthmStrokemScalem(NIHSS).
C.Assessmthemclientmformsignsmofmbleedingmduringmandmaftermtheminfusion.
D.Startmt-PAmwithinm6mhoursmaftermthemonsetmofmstrokemsymptoms.
E.Initiatemmultidisciplinarymconsultmformpotentialmrehabilitation.
B
Rationale:
Amfetalmheartmratem(FHR)mofm100mbeats/minmmaymindicatemfetalmdistressm(B)mbecausemthemaverage
mFHRmatmtermmism140mbeats/minmandmthemnormalmrangemism110mtombeats/minm160.mThemothersm(A,
mC,mandmD)maremnormalmfindingsmformamwomanminmlabor.m-
mCORRECTmANSWERmWhenmcaringmformamclientminmlabor,mwhichmfindingmismmostmimportantmtomrep
ortmtomthemprimarymhealthmcaremprovider?
A.Maternalmheartmrate,m90mbeats/min.
B.Fetalmheartmrate,m100mbeats/min
C.Maternalmbloodmpressure,m140/86mmmmHg
D.Maternalmtemperature,m100.0°mF
C
Rationale:
PositioningmthempatientminmamhighmFowler'smpositionmwithmdanglingmfeetmwillmdecreasemfurthermve
nousmreturnmtomthemleftmventriclem(C).mThemothermactionsmshouldmbemperformedmaftermthemchange
minmpositionm(A,mB,mandmD).m-
, mCORRECTmANSWERmThemnursemismcaringmformamclientmwithmheartmfailuremwhomdevelopsmrespirato
rymdistressmandmcoughsmupmpinkmfrothymsputum.mWhichmactionmshouldmthemnursemtakemfirst?
A.Drawmarterialmbloodmgases.
B.Notifymthemprimarymhealthmcaremprovider.
C.PositionminmamhighmFowler'smpositionmwithmthemlegsmdown.
D.ObtainmamchestmX-ray.
A
Rationale:
Rigidity,mshufflingmgait,mpill-
rollingmhandmmovements,mtremors,mdyskinesia,mandmmasklikemfacemaremextrapyramidalmsidemeffec
tsmassociatedmwithmThorazine.mItmismmostmimportantmformthemnursemtomadministermanmanticholiner
gicmsuchmasmCogentinmtomreversemthesemeffectsm(A).mThemothersm(B,mC,mD)mmaymbemappropriatemint
erventionsmbutmaremnotmasmurgentmasm(A).m-
mCORRECTmANSWERmAmclientmwhomismprescribedmchlorpromazinemHClm(Thorazine)mformschizophre
niamdevelopsmrigidity,mamshufflingmgait,mandmtremors.mWhichmactionmbymthemnursemismmostmimport
ant?A.Administermamdosemofmbenztropinemmesylatem(Cogentin)mPRN.
B.Determinemifmthemclientmhasmincreasedmphotosensitivity.
C.Providemcomfortmmeasuresmformsoremmuscles.
D.Assessmthemclientmformvisualmandmauditorymhallucinations.
B
Rationale:
Asmamdevelopmentalmmilestone,minfantsmshouldmsitmunsupportedmbym8mmonthsm(B).mThemmileston
emofmrollingmovermismachievedmatm5mtom6mmonthsmformmostminfantsm(A).mStrangermanxietymismcomm
onmfromm7mtom9mmonthsm(C).mSpeakingmamfewmwordsmismexpectedmatmaboutm12mmonthsm(D).m-
mCORRECTmANSWERmAmnursemisminterviewingmammothermduringmamwell-
childmvisit.mWhichmfindingmwouldmalertmthemnursemtomcontinuemfurthermassessmentmofmtheminfant?
A.Two-month-oldmwhomismunablemtomrollmfrommbackmtomabdomen
B.Ten-month-oldmwhomcannotmsitmwithoutmsupport
PRACTICE QUESTIONS LATEST
2026/2027 ACTUAL EXAM QUESTIONS
WITH CORRECT ANSWERS 100%
VERIFIED GRADED A+
B
Rationale:
Positioningmthemheadmofmthembedmflatmwhenmenteralmfeedingsmareminmprogressmputsmthemclientmatm
riskmformaspirationm(B).mThemothersmaremallmacceptablemtasksmperformedmbymthemUAPm(A,mC,mandmD
).m-
mCORRECTmANSWERmThemnursemismcaringmformamclientmwithmamcerebrovascularmaccidentm(CVA)mwh
omismreceivingmenteralmtubemfeedings.mWhichmtaskmperformedmbymthemUAPmrequiresmimmediatemin
terventionmbymthemnurse?
A.Suctionsmoralmsecretionsmfrommmouth
B.Positionsmheadmofmbedmflatmwhenmchangingmsheets
C.Takesmtemperaturemusingmthemaxillarymmethod
D.Keepsmheadmofmbedmelevatedmatm30mdegrees
B
Rationale:
Multiplembloodmtransfusionsmaremamriskmfactormformhyperkalemia.mAmserummpotassiummlevelmhighe
rmthanm5.0mmEq/Lmindicatesmhyperkalemiam(B).mThemothersmaremnormalmfindingsm(A,mC,mandmD).m-
mCORRECTmANSWERmWhenmcaringmformampostsurgicalmclientmwhomhasmundergonemmultiplemblood
mtransfusions,mwhichmserummlaboratorymfindingmismofmmostmconcernmtomthemnurse?
A.Sodiummlevel,m137mmEq/L
B.Potassiummlevel,m5.5mmEq/L
C.Bloodmureamnitrogenm(BUN)mlevel,m18mmg/dL
D.Calciummlevel,m10mmEq/L
,A
Rationale:
ThemhepatitismBmvaccinationmshouldmbemgivenmtomallmnewbornsmbeforemhospitalmdischargem(A).mHP
Vmismnotmrecommendedmuntilmadolescencem(B).mVaricellamimmunizationmbeginsmatm12mmonthsm(C)
.mMeningococcalmvaccinemismadministeredmbeginningmatm2myearsm(D).m-
mCORRECTmANSWERmWhichmvaccinationmshouldmthemnursemadministermtomamnewborn?
A.HepatitismB
B.Humanmpapillomamvirusm(HPV)
C.Varicella
D.Meningococcalmvaccine
B
Rationale:
Obtainingmamfingerstickmbloodmglucosemlevelmismamsimplemtreatmentmandmismanmappropriatemskillmf
ormUAPmtomperformm(B).m(A,mC,mandmD)maremskillsmthatmcannotmbemdelegatedmtomUAP.m-
mCORRECTmANSWERmThemnursemismcaringmformamclientmonmthemmedicalmunit.mWhichmtaskmcanmbemd
elegatedmtomunlicensedmassistivempersonnelm(UAP)?
A.Assessmthemneedmtomchangemamcentralmlinemdressing.
B.Obtainmamfingerstickmbloodmglucosemlevel.
C.Answermamfamilymmember'smquestionsmaboutmthemclient'smplanmofmcare.
D.Teachmthemclientmsidemeffectsmtomreportmrelatedmtomthemcurrentmmedicationmregimen.
B,C,E
Rationale:
Neurologicmassessment,mincludingmthemNIHSS,mismindicatedmformthemclientmreceivingmt-
PA.mThismincludesmclosemmonitoringmformbleedingmduringmandmaftermtheminfusion;mifmbleedingmormo
thermsignsmofmneurologicmimpairmentmoccur,mtheminfusionmshouldmbemstoppedm(B,mC,mandmE).mAspi
rinmismcontraindicatedmwithmt-
,PAmbecausemitmincreasesmthemriskmformbleedingm(A).mThemadministrationmofmt-
PAmwithinm6mhoursmofmsymptomsmismconcurrentmwithmamdiagnosismofmammyocardialminfarctionmand
mwithinm4.5mhoursmofmsymptomsmismconcurrentmformamstrokem(D).m-
mCORRECTmANSWERmThemnursemismcaringmformamclientmwithmanmischemicmstrokemwhomhasmamprescr
iptionmformtissuemplasminogenmactivatorm(t-
PA)mIV.mWhichmaction(s)mshouldmthemnursemexpectmtomimplement?m(Selectmallmthatmapply.)
A.Administermaspirinmwithmtissuemplasminogenmactivatorm(t-PA).
B.CompletemthemNationalmInstitutemofmHealthmStrokemScalem(NIHSS).
C.Assessmthemclientmformsignsmofmbleedingmduringmandmaftermtheminfusion.
D.Startmt-PAmwithinm6mhoursmaftermthemonsetmofmstrokemsymptoms.
E.Initiatemmultidisciplinarymconsultmformpotentialmrehabilitation.
B
Rationale:
Amfetalmheartmratem(FHR)mofm100mbeats/minmmaymindicatemfetalmdistressm(B)mbecausemthemaverage
mFHRmatmtermmism140mbeats/minmandmthemnormalmrangemism110mtombeats/minm160.mThemothersm(A,
mC,mandmD)maremnormalmfindingsmformamwomanminmlabor.m-
mCORRECTmANSWERmWhenmcaringmformamclientminmlabor,mwhichmfindingmismmostmimportantmtomrep
ortmtomthemprimarymhealthmcaremprovider?
A.Maternalmheartmrate,m90mbeats/min.
B.Fetalmheartmrate,m100mbeats/min
C.Maternalmbloodmpressure,m140/86mmmmHg
D.Maternalmtemperature,m100.0°mF
C
Rationale:
PositioningmthempatientminmamhighmFowler'smpositionmwithmdanglingmfeetmwillmdecreasemfurthermve
nousmreturnmtomthemleftmventriclem(C).mThemothermactionsmshouldmbemperformedmaftermthemchange
minmpositionm(A,mB,mandmD).m-
, mCORRECTmANSWERmThemnursemismcaringmformamclientmwithmheartmfailuremwhomdevelopsmrespirato
rymdistressmandmcoughsmupmpinkmfrothymsputum.mWhichmactionmshouldmthemnursemtakemfirst?
A.Drawmarterialmbloodmgases.
B.Notifymthemprimarymhealthmcaremprovider.
C.PositionminmamhighmFowler'smpositionmwithmthemlegsmdown.
D.ObtainmamchestmX-ray.
A
Rationale:
Rigidity,mshufflingmgait,mpill-
rollingmhandmmovements,mtremors,mdyskinesia,mandmmasklikemfacemaremextrapyramidalmsidemeffec
tsmassociatedmwithmThorazine.mItmismmostmimportantmformthemnursemtomadministermanmanticholiner
gicmsuchmasmCogentinmtomreversemthesemeffectsm(A).mThemothersm(B,mC,mD)mmaymbemappropriatemint
erventionsmbutmaremnotmasmurgentmasm(A).m-
mCORRECTmANSWERmAmclientmwhomismprescribedmchlorpromazinemHClm(Thorazine)mformschizophre
niamdevelopsmrigidity,mamshufflingmgait,mandmtremors.mWhichmactionmbymthemnursemismmostmimport
ant?A.Administermamdosemofmbenztropinemmesylatem(Cogentin)mPRN.
B.Determinemifmthemclientmhasmincreasedmphotosensitivity.
C.Providemcomfortmmeasuresmformsoremmuscles.
D.Assessmthemclientmformvisualmandmauditorymhallucinations.
B
Rationale:
Asmamdevelopmentalmmilestone,minfantsmshouldmsitmunsupportedmbym8mmonthsm(B).mThemmileston
emofmrollingmovermismachievedmatm5mtom6mmonthsmformmostminfantsm(A).mStrangermanxietymismcomm
onmfromm7mtom9mmonthsm(C).mSpeakingmamfewmwordsmismexpectedmatmaboutm12mmonthsm(D).m-
mCORRECTmANSWERmAmnursemisminterviewingmammothermduringmamwell-
childmvisit.mWhichmfindingmwouldmalertmthemnursemtomcontinuemfurthermassessmentmofmtheminfant?
A.Two-month-oldmwhomismunablemtomrollmfrommbackmtomabdomen
B.Ten-month-oldmwhomcannotmsitmwithoutmsupport
